Measuring moral distress and moral injury : A systematic review and content analysis of existing scales

Background

Moral distress (MD) and moral injury (MI) are related constructs describing the negative consequences of morally challenging stressors. Despite growing support for the clinical relevance of these constructs, ongoing challenges regarding measurement quality risk limiting research and clinical advances. This study summarizes the nature, quality, and utility of existing MD and MI scales, and provides recommendations for future use.

 

Method

Associations between International Trauma Questionnaire complex posttraumatic stress disorder symptom clusters and moral injury in a sample of U.K. treatment-seeking veterans : A network approach

Objective: Complex posttraumatic stress disorder (CPTSD) and moral injury are receiving increasing empirical attention. The network approach offers a novel method to understand the association between such mental health constructs.

 

‘Anyone can make bad use of a good law’ : exploring how constrained choice can result in moral injury

There are times within health and social care settings where professionals ask recipients of services to make complex and life altering choices. How these choices are presented by professionals has a profound impact on the experience of those accessing services. These experiences pattern their subsequent understanding of and response to both services and the professionals working within them.

Unified in remembrance : reflections on collective war commemoration by war-affected immigrants in the Netherlands

Decades after World War II, major commemorations are still organised to collectively remember this war. Aiming for inclusive societies, the perspectives of immigrants with different war experiences are important to be heard in relation to these commemorations.

The effect of a single session of psychological first aid in the emergency department on PTSD and depressive symptoms three months postintervention : results of a randomised controlled trial

Background: Despite its popularity, evidence of the effectiveness of Psychological First Aid (PFA) is scarce.

 

Objective: To assess whether PFA, compared to psychoeducation (PsyEd), an attention placebo control, reduces PTSD and depressive symptoms three months post-intervention. 

 

Adaptation and validation study of the Indonesian version of the Global Psychotrauma Screen in an undergraduate student population

Background
The high incidence of potentially traumatic events (PTEs) in Indonesia warrants early identification of those with probable trauma-related disorders in order to tailor prevention and intervention for trauma-related symptoms.

Objectives
This study aims to adapt and validate a novel brief transdiagnostic screener, the Global Psychotrauma Screen (GPS), in Indonesian undergraduate students.

Is a Personal Trauma History a Risk Factor for the Development of Secondary Traumatization in EMDR Therapists?

Symptoms severe enough to constitute a secondary traumatization (ST) can arise from providing eye movement desensitization and reprocessing (EMDR) treatment. However, little is known about specific risk factors such as a personal trauma history. EMDR therapists (n = 115) filled out a questionnaire battery to test whether the personal trauma history predicts symptom levels over and beyond vicarious exposure and whether vicarious exposure mediates the relationship between primary trauma history and current ST severity.

A Home-Based Telehealth Randomized Controlled Trial of Skills Training in Affective and Interpersonal Regulation Versus Present-Centered Therapy for Women Veterans Who Have Experienced Military Sexual Trauma

Objective: This randomized trial tested the effectiveness of Skills Training in Affective and Interpersonal Regulation (STAIR) compared to present-centered therapy (PCT) delivered virtually to women veterans who had experienced military sexual trauma (MST) and screened positive for posttraumatic stress disorder (PTSD).

 

Transdiagnostic and transtherapeutic strategies for optimising autobiographical memory

Our memories for past personally experienced autobiographical events play an important role in therapy, irrespective of presenting issue, diagnoses or therapeutic modality. Here, we summarise evidence for how autobiographical memory abilities can influence our mental health and the relevance of this for the treatment of mental health problems. We then guide the reader through principles and strategies for optimising autobiographical memory within treatment.

Imagery rescripting in the treatment of prolonged grief disorder : Insights, examples, and future directions

Background: Imagery Rescripting (ImRs) has received increasing attention in the past decades. It proved to be effective in reducing symptoms associated with aversive memories in a range of mental disorders, including anxiety disorders, eating disorders, and posttraumatic stress disorder. Given its proposed working mechanisms, ImRs may also be a relevant treatment strategy for prolonged grief disorder (PGD), where negative appraisals, helplessness, and unmet needs play a key role as maintaining factors.

 

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